DR. Angie Agnes Rawley, DMD

NPI #1619255809 in Gresham, Oregon

Provider Information

NPI Number: 1619255809
Entity Type: Individual
Name: DR. Angie Agnes Rawley, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 22, 2011
Last Updated: Feb 21, 2012

Practice Location

Address: 2458 SE BURNSIDE RD
City: Gresham
State: Oregon
ZIP Code: 97080-1247
Phone: (503) 666-8045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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